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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409231
Report Date: 02/09/2022
Date Signed: 02/09/2022 10:19:33 AM

Document Has Been Signed on 02/09/2022 10:19 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:BRAGGS JR., KOREFACILITY NUMBER:
073409231
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
02/09/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Kore Braggs TIME COMPLETED:
10:25 AM
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On 2/9/22 at 9:40 AM Licensing Program Analyst (LPA) Michelle Sutton conducted an announced follow-up Pre-licensing Inspection at Kore Braggs home and met with Applicant, Kore who has applied for a Small Child Care Home with a capacity of 8 children. The home was toured to conduct a Health and Safety Inspection. Present during today’s inspection is applicant Kore Braggs. The Child Care home plans to operate Monday-Sunday from 7am-5pm. Living in the home is Kore Braggs.

INDOOR SPACE: LPA toured the indoor space of the home. The home consists of living room, family room, 3 bedrooms and 3 bathrooms.
IN-USE AREAS: Living room, kitchen, bathroom and backyard. LPA discussed to have full supervision when children walk threw the kitchen to the back yard (play yard).
OFF-LIMIT AREAS: All bedrooms, 2 bathrooms and family room. Applicant has locks on all off-limit bedrooms in the home.
OUTDOOR SPACE: LPA toured the outdoor area (backyard). LPA observed a shed with locks which is inaccessible to children. There are no water bodies in out door area. LPA observed the out door area is fully fenced. LPA observed there were no screws/nails and no open gaps within the back fence. No hazardous item stored in the out door area.

This home is recommended for licensing. Applicant was reminded that compliance with all Title 22 regulations and applicable Health and Safety regulations, must be maintained at all times. This report shall remain on file for 3 years. At 10:15 AM Exit interview was conducted with Applicant Kore Braggs and report was signed acknowledging receipts of documents.

END OF REPORT
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Michelle Sutton
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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